Abstract
Opioid receptors are the primary clinical targets for the attenuation of pain. Many opiates used for pain management have a high abuse liability due to their psychoactive and rewarding properties. In recent years, accumulating evidence obtained through an array of techniques (from biochemical to pharmacological and biophysical) demonstrate that these receptors exist as homomers/oligomers, and more importantly, that they also form heteromers with closely or distantly related GPCRs. Heteromerization of opioid receptors has profound effects on their maturation, pharmacology, signaling, and trafficking. In addition, heteromer levels are regulated by pathophysiological conditions and by chronic drug treatment, underscoring their importance in the regulation of receptor properties. In this chapter, we describe evidence for opioid receptor homo- and heteromerization, we document the types of opioid receptor-containing heteromers and summarize their most important features, and finally, we discuss the relevance of developing selective ligands targeting heteromers. The interaction of such molecules with a specialized pool of receptors, within a given heteromer, could enhance greater therapeutic activity without undesired effects. This is particularly relevant for the treatment of pain and other related disorders.
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Rozenfeld, R., Gomes, I., Devi, L.A. (2011). Opioid Receptor Dimerization. In: Pasternak, G. (eds) The Opiate Receptors. The Receptors. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-60761-993-2_15
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